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Structured Supportive Dentistry Intervention Manual for the Oral Complications in Patients With Cancer Receiving
Nakshatra Shetty1, Arun Ghoshal1, Adarsh Kudva2
1Department of Palliative Medicine and Supportive Care, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India, manipal.edu.
International Journal of Dentistry
|August 8, 2026
Summary
A new manual for managing chemotherapy-related oral complications was developed and found relevant by dental experts. Further clinical piloting is needed before widespread implementation to improve cancer patient quality of life.
Area of Science:
- Oncology
- Dentistry
- Evidence-Based Practice
Background:
- Chemotherapy-related oral complications (CROC) significantly impact cancer patients' quality of life.
- Standardized, context-specific supportive dentistry intervention manuals (SDIM) for CROC are limited in India.
- Oral mucositis, xerostomia, and candidiasis are common CROC affecting 40%-80% of cancer patients.
Purpose of the Study:
- To develop a SDIM for managing CROC in cancer patients undergoing chemotherapy (CT).
- To evaluate the content validity, clinical relevance, clarity, and usability of the developed SDIM among expert dental clinicians.
Main Methods:
- The SDIM was created through literature review, guideline analysis, and resource adaptation, structured into four domains.
- Content validation utilized a content validity index (CVI) and qualitative expert feedback.
- Ten senior dental experts assessed the manual using a 4-point Likert scale for relevance, clarity, simplicity, and necessity.
Main Results:
- Experts deemed the manual clinically useful and relevant for managing xerostomia, oral mucositis, and candidiasis.
- Feedback indicated a need for simplification for multidisciplinary use and improved structuring for quick reference.
- Suggestions included incorporating context-specific interventions and enhancing usability through standardized tables and flowcharts.
Conclusions:
- The developed SDIM was considered relevant, practical, and appropriate for managing CROC.
- Clinical piloting is recommended as a crucial next step prior to formal implementation.
- The manual has the potential to improve supportive dental care for cancer patients receiving chemotherapy.
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